VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Primrose School of Bristow
9101 Balaton Lake Lane
Bristow, VA 20136
(703) 479-7918

Current Inspector: Cathy Aylor (540) 222-6352

Inspection Date: Oct. 21, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

**Please ensure that you are labeling all children's diaper creams/ointments. **Discussed with the director to ensure that documentation of age verification was maintained and accessible at the school and in staff records as required in the standards.

Comments:

An unannounced Renewal Inspection was conducted today from 11:45 to 2:00pm. There were 49 (infants to 4 years) directly supervised by 13 staff. The physical plant, 4 staff records, 7 children?s records, 4 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, playing outside, eating lunch, and preparing for and taking naps. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (540) 340-2672.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on review, the facility did not ensure that children's records were maintained with the required information. Evidence: Reviewed 7 children's records and found that Child 7 did not have documentation of both parent's home address.
Plan of Correction:	Will contact parent to add address.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the facility did not ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Observed in the Preschool classroom, an unlocked cabinet with soap water spray and sanitizers. 2) Observed in the Explorers bathroom, air fragrance marked keep out of reach of children on top of the hand towel dispenser.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the facility did not ensure that electrical outlets shall have protective covers. Evidence: Observed in the Explorers classroom a surge protector with 5-6 uncovered electrical outlets, plugged into the wall, and on the floor.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, the facility did not ensure that the diapers were disposed of in a system that was used in such a way that it was not hand operated or so that solid diapers touched the exterior surface during disposal.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-185-520-C
Description:	Based on observation, the facility did not ensure that if diaper ointment or cream is used, that the minimum requirements were met. Evidence: Observed in the Early Preschool classroom, 3 diaper ointment/creams in the changing area that were not labeled with children's names.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-185-550-M
Description:	Based on review, the facility did not ensure that written records of children's injuries were maintained with the required documentation. Evidence: Reviewed 10 injury/accident reports and found that 1 did not have documentation of the time parents were notified of the injury.
Plan of Correction:	Will follow-up with a training making sure that that area is filled out.
Standard #:	63.2(17)-1721.1-B-3
Description:	Based on review, the facility did not have documentation of results of a search of the central registry maintained and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against them.
Plan of Correction:	Staff has the requested documents at home and will bring it to the office in the morning.